Get the free ARALAST (alpha1proteinase inhibitor)

UTAH DEPARTMENT OF HEALTH, PRIOR AUTHORIZATION REQUEST FORM ANALYST (alpha1proteinase inhibitor) Patient name: Medicaid ID #: Prescriber Name: Prescriber NPI#: Contact person: Prescriber Phone#: Extension/Option:

How to fill out aralast alpha1proteinase inhibitor

How to fill out aralast alpha1proteinase inhibitor:

1. Start by carefully reading the instructions provided with the medication. These instructions usually include important information regarding the proper dosage, administration method, and storage requirements.
2. Wash your hands thoroughly with soap and water before handling the medication or any related materials. This helps ensure proper hygiene and prevents contamination.
3. Prepare a clean and sterile working area. Use a clean surface or tray to lay out the necessary equipment and supplies, such as the vial of aralast alpha1proteinase inhibitor, alcohol swabs, syringes, and needles.
4. Check the expiration date on the vial of aralast alpha1proteinase inhibitor. Do not use the medication if it has expired as it may not be effective or safe.
5. Clean the rubber stopper on the vial with an alcohol swab to maintain sterility. Allow it to air dry completely before proceeding.
6. Draw up the correct dosage of aralast alpha1proteinase inhibitor using a sterile syringe and needle. Follow the dosing instructions provided by your healthcare professional or as indicated on the vial.
7. Remove any air bubbles from the syringe by gently tapping it and then pushing the plunger slightly until the bubbles float to the top. Carefully push the plunger to expel the bubbles without wasting any medication.
8. Choose an appropriate injection site, usually a fatty area of the body such as the abdomen or thigh. Clean the injection site with an alcohol swab, and let it dry before proceeding.
9. Remove the needle cap and gently pinch the skin at the cleaned injection site to create a small fold. Hold the syringe like a pencil and insert the needle into the fold at a 90-degree angle.
10. Slowly push the plunger down to inject the aralast alpha1proteinase inhibitor into the desired site. Once the medication has been injected, carefully withdraw the needle from the skin at the same angle it was inserted.
11. Dispose of the used needle and syringe in a sharps container or other appropriate disposal method as directed by your healthcare professional or local regulations.
12. Recap the vial of aralast alpha1proteinase inhibitor if there is any medication left. Place it in a clean and safe storage area, following the storage instructions provided.
13. Wash your hands again with soap and water to ensure proper hygiene.

Who needs aralast alpha1proteinase inhibitor:

1. Individuals with alpha1-antitrypsin deficiency, a genetic disorder that affects the production of a protein called alpha1-antitrypsin. This deficiency can lead to an increased risk of lung and liver diseases.
2. People diagnosed with emphysema or chronic obstructive pulmonary disease (COPD) who have a confirmed alpha1-antitrypsin deficiency. Aralast alpha1proteinase inhibitor can be used as a replacement therapy to increase the levels of alpha1-antitrypsin in these individuals.
3. Patients who have undergone lung transplant surgery or other interventions that may require supplementing alpha1-antitrypsin levels.

It is important to note that the usage and need for aralast alpha1proteinase inhibitor should be determined by a qualified healthcare professional, who will consider the individual patient's medical history and condition.

For pdfFiller’s FAQs

What is aralast alpha1proteinase inhibitor?

Aralast alpha1proteinase inhibitor is a medication used to treat alpha1-antitrypsin deficiency.

Who is required to file aralast alpha1proteinase inhibitor?

Patients with alpha1-antitrypsin deficiency who are prescribed Aralast alpha1proteinase inhibitor are required to file it.

How to fill out aralast alpha1proteinase inhibitor?

Aralast alpha1proteinase inhibitor is typically administered through intravenous infusion by a healthcare provider.

What is the purpose of aralast alpha1proteinase inhibitor?

The purpose of Aralast alpha1proteinase inhibitor is to increase the levels of alpha1-antitrypsin in the body to help protect the lungs from damage.

What information must be reported on aralast alpha1proteinase inhibitor?

The information that must be reported on Aralast alpha1proteinase inhibitor includes the dosage administered, any side effects experienced, and the frequency of treatment.

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